<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Country')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-country" data-rule="required" class="form-control selectpicker" name="row[country]">
                {foreach name="countryList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.country"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Title')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-title" data-rule="required" class="form-control selectpicker" name="row[title]">
                {foreach name="titleList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.title"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Age')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-age" data-rule="required" class="form-control" name="row[age]" type="number" value="{$row.age}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text" value="{$row.name}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Working_years')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-working_years" data-rule="required" class="form-control" name="row[working_years]" type="number" value="{$row.working_years}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Profession')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-profession" data-rule="required" class="form-control" name="row[profession]" type="text" value="{$row.profession}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Record')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-record" data-rule="required" class="form-control" name="row[record]" type="text" value="{$row.record}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('History_rate')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-history_rate" data-rule="required" class="form-control" name="row[history_rate]" type="number" value="{$row.history_rate}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Free_rate')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-free_rate" data-rule="required" class="form-control" name="row[free_rate]" type="number" value="{$row.free_rate}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Profession_rate')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-profession_rate" data-rule="required" class="form-control" name="row[profession_rate]" type="number" value="{$row.profession_rate}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
